Mariposita: Creative and Therapeutic Solutions

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MARIPOSITA: CREATIVE AND THERAPEUTIC SOLUTIONS

Practice address

26 Talon Dr
Crawfordville, FL 32327-2359

Phone

(859) 766-2628

NPI assigned

Feb 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amber Khyra Jamisen Nelson, LMHC

Title

Licensed Mental Health Counselor

Phone

(850) 766-2628

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Khyra Jamisen Nelson, LMHC, ATR, EMDR

  • Counselor
  • Miramar, FL
  • NPI 1184182024
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1720731219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TALON DR",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272359",
            "telephone_number": "859-766-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TALON DR",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272359",
            "telephone_number": "859-766-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSITA: CREATIVE AND THERAPEUTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "AMBER KHYRA",
        "authorized_official_middle_name": "JAMISEN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "850-766-2628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lea Lucas, MS, MT-BC
• Melissa Maddox-Reeves, LCSW
• Soheyla L Mahdavian, PHARM.D.
• Marino Total Dental Care PLLC
• Margaret Marino, DMD
• Martha Mason, PSY.D.
• Valerie Dawn Mason, SLP
• Avery Glenn McClenton
• Jayah McCoggle, RPH
• Jacquelyn McMillan, PH.D, LCSW

• Adult Mental Health Clinic/Center in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.